Han Changhun, Shinkuma Takafumi, Shinkuma Takafumi, Takei Satoshi, Oki Takeshi
Department of Orthopaedic Surgery, Nagayoshi General Hospital, Osaka, Japan.
Department of Orthopaedic Surgery, Hankai Hospital, Osaka, Japan.
JBJS Case Connect. 2023 Feb 16;13(1). doi: e22.00665. eCollection 2023 Jan 1.
We present 2 patients each with an intra-articular ganglion cyst arising at the femoral attachment of the anterior cruciate ligament that was successfully resected using the posterior trans-septal portal approach. At the final follow-up, the patients had no recurrence of symptoms and no recurrence of the ganglion cyst on magnetic resonance imaging.
Surgeons should consider the trans-septal portal approach when they cannot visually confirm the intra-articular ganglion cyst by the arthroscopic anterior approach. The trans-septal portal approach enabled complete visualization of the ganglion cyst located in the posterior compartment of the knee.
我们报告2例患者,均为前交叉韧带股骨附着处出现的关节内腱鞘囊肿,采用经后间隔入路成功切除。末次随访时,患者症状未复发,磁共振成像显示腱鞘囊肿未复发。
当外科医生无法通过关节镜前路直观确认关节内腱鞘囊肿时,应考虑经间隔入路。经间隔入路能够完整观察位于膝关节后室的腱鞘囊肿。